NPI | 1205965407 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM A COWGILL Director Of Operations 219-926-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IN 0107991527) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2008-08-15 |